TELEPHONE REFERENCE CHECK FORM Applicant’s Name: Name of Reference: Telephone Number: Date/Time of Reference Interview: Hiring Department: SCRIPT: Please use the following script as a guide for the reference check interview and to document your discussion. 1. Greeting Good (morning/afternoon) my name is: _____________________________ I’m calling from the _________________ department at SUNY Geneseo. _______________________(applicant’s name) has applied for ___________________ position with our institution, and has listed you as a reference. Do you have a few minutes to talk with me? Yes No ( if no, ask for a convenient time to call back) Date/time 2. Position The position that _______________________(applicant’s name) is applying for requires (briefly describe the essential duties of the position): Based on the duties described, how well do they compare to __________ skills and ability? 3. Relationship: How long have you known the applicant? Using the following descriptors, how would you describe Co-worker your relationship to the applicant? Supervisor Former teacher Friend Relative (please describe) Other (please describe) 4. Employment Relationships (complete for relationships described as co-worker, or supervisor) When did this individual work with/for you? What was his/her job title? Salary: Describe the job duties that this person performed: How would you describe this individual’s attendance? (Do not inquire about any medical related absences)? Why did he/she leave your company? Would you recommend this individual for rehire? yes If no, why not: 5. General Information How would you describe this individual’s: Dependability? Use of judgment? Ability to get along with others? Work ethic? Quality of work? Biggest strengths? Areas that need improvement? Thank you for your time and cooperation. Signature of Interviewer: Date of Interview: Time Interview Began and Ended: no